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Tuesday, 8 April 2014

Medical Tourism in India

Research Paper Help on Medical Tourism in India

Introduction
Medicinal tourism is turning into an accepted preference for travelers all around the world. It covers mainly biomedical methodologies, merged with tour and travel. Medical  tourism  which can also be termed as health  care  tourism  is  a rapidly  budding multibillion-dollar  commerce  across the globe. As said by Goodrich & Goodrich (1987), medical tourism is the effort to catch the attention of travelers by intentionally marketing its therapeutic and fitness benefits and amenities, as well as its usual travel services. Likewise, India's medical tourism segment is estimated to rise at a yearly rate of 30 percent to develop into a trade of Rs 9,500-crore by the year 2015 (Indian Health Care, 2012).
The research paper is about medical tourism in India and I am an American businessman of Indian Origin trying to set up a consultancy whereby I will arrange for patients in America to visit India to get medical treatment. Furthermore, the given investigatory article concentrates on the major and elementary topics and disputes acquired by National medical tourism segment which facilitates it to surmount inland and worldwide obstacles on improving its health-care amenities.
The study conducted defines the given subsequent confrontations to face so as to carry out trade in India:
Quality of treatment/facilities in India compared to USA
Scarcity of framework development services such as dearth of effective networks and managing setup, deficient electricity and water provision. The majority of the Indian hospitals are even suffering the dearth of faith and confidence from the unfamiliar sufferers. The hospitals have followed inferior quality parameters in remedial helps, unhealthy food management, and deficiency of appropriate hospitality benefits, varying costing of facilities and no business principles.
The legal administration can essentially contribute to bring advancements in the medical tourism trade. But the commerce is confronting the given difficulties which are originated by the administrative bodies. They are: (a) no laws and directives, (ii) excise inconsistencies, (c ) official blockades, (d) no jobs on  territory  transformations,  (e)  shortage of  long-standing  guidelines beneficial for investor  and  (f)  insecurity in reference to violence and communal pressures. Therefore the class of medical benefits for the underprivileged in India is definitely quite inferior.

Problem of unethical behavior among doctors in India
The communication between doctors of medicine and medical representatives (popularly known as MRs) is nearly as ancient as the medicinal business itself. The primary responsibility of an MR is to clearly explain the doctor on the subject of his organization’s items for consumptions comprising the drugs (Franklin, 1990). Regrettably, most of the time there is a clash between the welfare of the patient and those of the physicians to the extent that the drug marketing is related. Mostly, drug marketing policies followed by different drug enterprises are quite striking that a doctor can’t refuse to accept. As a result, this puts the benefit of the doctors in front of that of the sufferers. Doctors, who are regularly in touch with the marketing agents of drug companies, are more prone to recommend latest and costly drugs of their preferred pharmaceutical firms to accomplish their self-centered motives i.e. to obtain maximum monetary benefits from the enterprises as reductions. In our country, the doctors and surgeons are given much respect by the innocent patients (Bluementhal, 2003). They are regarded next to 'Almighty’ by the majority of sufferers. Hence, doctors possibly will recommend costly medicines of their preferred pharmaceutical enterprises with little concern for the cost swallowed by the deprived and underprivileged patients (Roy Nobhojit, 2004).

Accountability of doctors
Doctors in the US are held accountable for misdeeds and are punished whereas in India laws are pretty relaxed with almost no liabilities for the doctors. In India, doctors are considered as Gods and thus it forms the main reason for not punishing any doctors as nobody blames a doctor for any discrepancy occurred during any treatment. Due to this most of the doctors are fooling people by giving a long list of prescription of drugs while a patient may not be having such problem or illness. Most of the doctors have a contract with Pharma companies as they get paid for number of prescription they give to their patients. Many a times, stealing of kidney or selling human organs have always be in the headlines but still people do not probe to the doctors and leave everything with their eyes closed on them.

Communication Style
Physicians and surgeons here in India are strict and demanding kind and do not prefer queries and interrogations from the patients while the doctors in USA are responsive and affable who properly elucidate on the subject of the patients’ troubles to patient themselves and their family members.
Doctor’s degree is considered to be as the most highly ranked and appraised course. Same way a doctor’s profession is always praised in the country. This gives doctors in India to feel that they are more superior to others.
In this research it was brought into light that doctors aren't much efficient listeners for patients and/or persuading them to take part in the procedure of making judgments. Patients expressed that they were willing to work together in judgments concerning their health and fitness but sensed they might not as doctors mostly were dictatorial, instead of being reliable and convincing (http://www.coping-with-epilepsy.com).

Hygiene issues
The hospitals in India have practiced ineffective hygiene attentiveness in medicinal assistants, unhealthy food management, and deficiency of suitable hospitality benefits, fluctuating costs of facilities and no business principles.
The class of medical care for the underprivileged in India is irrefutably quite inferior. If India is able to expand its communication and transportation networks to global scale, it definitely would promote this field of medical amenities plus will lend a hand to the world to make use of the Indian medical benefits. The spectacle of the nations’ swarming municipal hospitals; uncovered gutters and rubbish filled roads would upset most tourists’ assurance in relation to public hygiene dimensions in India. Even now patients from the United States are comparatively lesser not only due to the miles they will have to cover in order to come here but also because of the hospital supervisory grant, as we know India persists to put up with a representation of deprivation and inefficient sanitation that depresses a number of patients.

Safety issues
Safety continues to be a serious topic with eruptions of sickness leading to ample expenditure to hospitals and the financial system (Kaferstein, Motarjemi, & Bettcher, 1997).
Majority of the hospitals, particularly minor clinics and rural hospitals are even now utilizing unhygienic and infected syringes. World Health Organization research had exposed that each year around 1.8 million folks were being tainted by unhygienic plungers and needles, frequently kids and that one would pass away every 20 seconds.
In an investigation performed by DNA in Mumbai, it was known that the fire extinguishers were positioned in the three hospitals but it had no smoke detectors, sprinklers and the emergency way outs were obstructed by worn out fixtures. Besides, the defense workforce did not appear skilled to cope with the instrument neither did any member of working staff know if the instrument performed properly (DNA India, 2012).



Arrangement of food for American patients
Indian cuisine is highly spiced and fiery while American foodstuff contains relatively fewer spices. Indian cooking is often done with plenty of oil, spices, etc. which is pleasant for flavor buds but not really for physical fitness if consumed for a constant time span. On the other hand in USA, natives are more drifting towards better choices for foodstuff, such as uncooked groceries, fruits, iced up yogurt, etc .which keeps one fit and healthy.
Consequently, assortment of improved and disinfected foodstuff for the patients possibly will be a large contest. Given the increasing number of patients from US, hospitals must appoint US translators and establish a kitchen providing hygienically cooked food in communal infirmaries in India. 













References
Ø  Bluementhal, D. (2003). Doctors & Drug companies. N. Engl. J. Med. pp. 315
Ø  Coping with epilepsy. (2012). Retrieved from URL: http://www.coping-with-epilepsy.com/forums/f22/authoritarian-doctors-16337/
Ø  DNA India. (2012). Civic hospitals not equipped, nor staff trained to fight fire. Retrieved from URL: http://www.dnaindia.com/mumbai/report_civic-hospitals-not-equipped-nor-staff-trained-to-fight-fire_1707651
Ø  Franklin CA. (1990). Modi Textbook of MedicalJurisprudence & Toxicology, 21st edition, NM Tripathy Pvt. Ltd. pp. 684-94.
Ø  Goodrich, G. & GoodrichJ. (1987). “Healthcare  Tourism-An  exploration  study”. Tourism Management, September, pp. 217-222
Ø  Indian Health Care. (2012). INDIAN MEDICAL TOURISM TO TOUCH RS 9,500 CRORE BY 2015. Retrieved from URL: http://www.indianhealthcare.in/index.php?option=com_content&view=article&catid=39%3ANews&id=357%3AINDIAN+MEDICAL+TOURISM+TO+TOUCH+RS+9,500+CRORE+BY+2015:+ASSOCHAM&sectionid=17&Itemid=77
Ø  Kaferstein, F. K., Motarjemi, Y., & Bettcher, D. W. (1997). Safety and control: a transnational challenge. pp. 503–510
Ø  Roy Nobhojit. (2004). Who rules the great Indian bazaar. Indian journal of Med. Ethics. pp. 2-3.


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